Pennsylvania
Department of State
TANNER M CLARK
Dentistry - Anesthesia Permit - Restricted II
License number
DN001687
Date granted
09/22/2011
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
PHILADELPHIA PA 19146
palicensing.org
ID 16538634
LAST UPDATED 2024-04-11 13:05:22 UTC
LAST UPDATED 2024-04-11 13:05:22 UTC
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